15D2107015 CLIA NUMBER - RIVER TERRACE HEALTH CAMPUS

Laboratory Demographics

  • CLIA Code: 15D2107015
  • Facility Name: RIVER TERRACE HEALTH CAMPUS
  • Facility Address: 120 PRESBYTERIAN AVENUE
    MADISON, IN
    ZIP 47250
  • Facility Phone: (812) 265-0088
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY LUCAS
  • NPI Number: 1205201381
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2107015
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER TERRACE HEALTH CAMPUS
Street 120 PRESBYTERIAN AVENUE
City MADISON
State IN
ZIP 47250
Phone 8122650088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2026
Certificate Expiration Date 1/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TIFFANY LUCAS

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This page was last updated on: 5/18/2026